ABVO Certifying Exam Application Payment Form
Please complete and submit this form when submitting your Exam Certification Eligibility application in the portal. Credit cards accepted: Visa, MC, or Discover, American Express, and most debit cards. A confirmation will be emailed to the email address provided below.
Name of Resident Applying for Exam Certification Eligibility
*
First Name
Last Name
Email of Resident Applying for Exam Certification Eligibility
*
example@example.com
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Certifying Exam Application Fee
$100.00
$
100.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
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